Cardiac & Critical care

            Heart attack, also known as myocardial infarction is one of the biggest killers in the world . It is caused by the abrupt stoppage of blood supply to the heart due to a blood clot in the blood vessel  that supplies blood to the heart(Coronary artery).  The most common symptom for heart attack is suddent  onset of un bearable chest pain , can also radiate to the shoulders or to the back or to the stomach or even to the fingers. In our experience heart attack has been diagnosed with  patients who just had  shoulder pain  or pain in the arms or stomach  or just back. So people who experience such pain should take it seriously and should consult a doctor as soon as possible. Another important complaint is profused sweating or palpitation (hearing one’s own heart beat) and giddiness One of the easiest ways to diagnose heart attack is an electro- cardiogram which measures the function of heart in terms of electric signals.
Most people know of the possible causes of heart attack. High cholesterol, smoking , lack of exercise, obesity , hypertension, Diabetes, stressful life style  etc etc all this  contribute to this dread ful disease which most people also know but the fact is many people ignore it due to negligence or over confidence. Age is no more a factor in occurrence of heart attack of late because we are seeing many young suffer from heart attack and the outcome is actually worse for young people who get it.
        We have seen the factors that contribute to heart attack but how to treat once you get one? Besides the routine antiplatelets (aspirin, clopigogrel) which, prevents platelets attaching to each other which is the first step in clot formation. Anti cholesterol drug (atervastatin ) at a high dose  and subsequently ,thrombolytics (Drugs which dissolve the clot) form the bulk of the treatment. Besides, the patient can be directly taken for a angiogram which is a diagnostic method to ascertain the degree of the blockade, size of the clot and the number of vessels affected.  After Angiogram, primary coronary angioplasty can be done which is basically removing the clot and keeping a tube (stent) which will prevent the blockade and ensure continuous blood supply from that vessel. Time is of the essence in patients with heart attack so its absolutely essential for people to consult a doctor as soon as they get the complaints which was mentioned already.

          Abhijay hospital is one of the two hospitals which regularly admit heart attack patients in the locality . With our team of cardiologists, Dr. Harikrishnan, Dr.Ravisekar, Dr. Rajasekar, Dr. Senguttuvan readily available on call, and with our experienced ICU team headed by Dr.Venkat  co-ordinating with the consultants,we have been regularly treating heart attack patients with very good success . Ofcourse the only jewel missing in our crown is a cath lab which hopefully will be a reality very soon